Quadrant通道系统TLIF与传统TLIF方法治疗腰椎间盘突出症的效果比较

Effect comparison of Quadrant TLIF channel system and traditional TLIF method in treatment of lumbar intervertebral disc protrusion

目的比较Quadrant通道系统TLIF与传统TLIF方法治疗腰椎间盘突出症的效果。方法 选择十堰市太和医院2014年1月~2015年1月收治的腰椎间盘突出症患者160例,按照随机数字表法随机分为两组,每组各80例。对照组采用传统TLIF方法 ,观察组采用Quadrant通道系统TLIF方法,评价治疗效果。结果 两组在切开长度、术中出血量、术后引流量、下床时间、术后住院时间比较,差异有统计学意义（P〈0.05）。与对照组比较,观察组术后2周、术后2个月的VAS及ODI评分均降低,差异有统计学意义（P〈0.05）。观察组总有效率为98.75%,明显高于对照组的76.25%,差异有统计学意义（P〈0.05）。两组并发症发生率比较,差异无统计学意义（P〉0.05）。影像学结果示钉棒固定完好,椎间融合好,融合器无移位。结论 Quadrant通道系统TLIF术治疗腰椎间盘突出症效果显著,安全性好。针对复杂性及多节段腰椎退变性疾病的治疗,应针对患者的具体情况制订个体化的方案。

Objective To compare the effect of Quadrant TLIF channel system and the traditional TLIF method in the treatment of lumbar intervertebral disc protrusion. Methods 160 patients with lumbar disc prolapsed in Taihe Hospital of Shiyan City from January 2014 to January 2015 were collected, and they were randomly divided into two groups of observation group and control group, with 80 cases in each group, according to random number table method. The con- trol group was given traditional TLIF method, observation group was given TLIF Quadrant channel system method, the therapeutic effect was evaluatd. Results The intraoperative blood loss, postoperative incision length, flow and bed time, postoperative hospital stay in the two groups were compared, the differences were statistically significant （P 〈 0.05）. Compared with the control group, VAS and ODI scores reduced in observation group after 2 weeks, 2 months, the dif- ferences were statistically significant （P 〈 0.05）. Total effective rate in observation group was 98.75%, which was sig- nificantly higher than that in the control group （76.25%）, the difference was statistically significant （P 〈 0.05）. The complication rate of two groups was compared, the difference was not statistically significant （P 〉 0.05）. Imaging results showed that fixed nail stick was in good condition and intervertebral fusion, with fusion shiftless. Conclusion TLIF Quadrant channel system effect is remarkable for the treatment of lumbar intervertebral disc protrusion with good safe- ty.In view of the complexity and segmental lumbar degenerative disease, it should be individualized plan formulation according to the specific condition of patients.